Dysphagia

Upper esophageal web

December 1, 2007     Catherine J. Rees, MD and Peter C. Belafsky, MD, PhD
article

Unilateral tonsillar lymphoepithelioma with ipsilateral parapharyngeal space involvement: A case report

December 1, 2007     Scott L. Lee, MD, Ching Y. Lee, MD, PhD, Rami K. Batniji, MD, and Steven Silver, MD
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Abstract

We report a case of unilateral tonsillar lymphoepithelioma with extension into the ipsilateral parapharyngeal space, and we review the clinical, histologic, and radiographic findings of the case. The patient presented with a tonsillar mass that was confirmed on biopsy to be lymphoepithelioma. Computed tomography demonstrated ipsilateral parapharyngeal space involvement. Association with Epstein-Barr virus was not assessed since it does not affect the treatment modality. We also review the literature and discuss the diagnosis and current treatment options.

Giant fibrovascular polyp of the esophagus

September 30, 2007     Catherine J. Rees, MD; Peter C. Belafsky, MD, PhD
article

A 56-year-old man was referred to the Center for Voice and Swallowing for management of a large upper esophageal mass. He complained of intermittent regurgitation of the mass and associated dyspnea.

Isolated uvulitis

July 31, 2007     Marc Cohen, MD; Dinesh K. Chhetri, MD; Christian Head, MD
article

A 46-year-old woman presented to the emergency department with an 8-hour history of progressive throat pain, dysphagia, and odynophagia. Of note, she had begun her day by taking a magnesium oxide supplement for the first time. She reported no fever, chills, shortness of breath, trauma, or recent upper respiratory tract infection. Her medical history was significant for asthma, hypertension, and mitral valve prolapse. She also recalled an episode of acute tongue swelling during childhood.

Patulous lower esophageal sphincter

July 31, 2007     Catherine J. Rees, MD; Peter C. Belafsky, MD, PhD
article

A 46-year-old man presented to the Center for Voice and Swallowing with symptoms of globus, pyrosis, and solid-food dysphagia. Findings on transnasal esophagoscopy were normal except for the presence of a widely patulous lower esophageal sphincter (LES) .

Distal esophageal spasm

May 31, 2007     Catherine J. Rees, MD; Peter C. Belafsky, MD, PhD
article

Anaplastic thyroid carcinoma

April 30, 2007     Troy Hutchins, MD; Paul Friedlander, MD; Enrique Palacios, MD, FACR
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Gastric carcinoma

March 31, 2007     Catherine J. Rees, MD; Peter C. Belafsky, MD, PhD
article

Chronic esophageal stricture with Barrett's esophagus

February 1, 2007     Catherine J. Rees, MD; Peter C. Belafsky, MD, PhD
article

Severe distal esophageal stricture

September 30, 2006     Sheldon R. Brown, MD
article

The 'sentinel clot' sign in spontaneous retropharyngeal hematoma secondary to parathyroid apoplexy

August 31, 2006     George Koulouris, FRANZCR; Marcus Pianta, MBBS; Stephen Stuckey, FRANZCR
article
Abstract
Spontaneous retropharyngeal hemorrhage from a cervical parathyroid adenoma is a rare complication of primary hyperparathyroidism. Because of its rarity, it has seldom been documented in the radiologic or ENT literature. Patients may present with a variety of manifestations, ranging from dysphagia to dysphonia to life-threatening dyspnea or hemorrhage. Awareness of a possible thyroid or parathyroid etiology may expedite treatment and prevent unnecessary interventions. We present a case of spontaneous retropharyngeal hemorrhage in which the "sentinel clot" sign enabled us to identify the lesion of origin.

Double swallow

July 31, 2006     Gregory N. Postma, MD; Lori M. Burkhead, PhD, CCC-SLP; William H. Moretz III, MD
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